EOR (Psychology) EXAM
QUESTIONBANK COMPLETE AND
ACCURATE SOLUTIONS RATED A.
A 25-year-old woman comes to the emergency department because of
intense abdominal pain. She describes it as a sharp pain and rates it as a
10 on a 10-point scale. She says it started last night and cannot identify
any triggers. She denies nausea, vomiting, diarrhea, or menstrual
abnormalities. She reports having had previous episodes that have been
relieved with oxycodone and requests this for the pain.
Vital signs show she is afebrile, her pulse is 72/min, respirations are
16/min, and blood pressure is 120/80 mm Hg.Physical examination
shows bowel sounds are present, and there is diffuse tenderness to
palpation in all four quadrants of the abdomen, without rebound
tenderness or guarding. There is no organomegaly or masses noted. She
declines a pelvic exam. Blood tests show CBC, UEC, TFT, LFTs, amylase,
and lipase are all normal. Urine beta-HCG is negative.
Which of the following is the most likely diagnosis?
A. A
E. Substance abuse (Patients exhibiting drug-seeking behavior will report pain
out of proportion to symptoms. They will demand one pain drug, will not take
any other, and refuse any other forms of treatment.)
A 45-year-old woman comes to the office because of the presence of
vertical wrinkles on her upper lip. She complains that none of her friends
of the same age have these fine lines or wrinkles and does not know why
,she has them. Past medical history is noncontributory. She reports using a
moisturizing lotion with sun protection factor (SPF) of 15 daily. She has a
20 pack-year history of smoking. She reports having two glasses of wine
socially about once a week. Which of the following cutaneous features is
the patient most likely to also develop?
A. Palpable purpura
B. Flushing and pruritus
C. Follicular plugging
D. Yellow-tinged skin on the palms and soles
E. Erythematous, scaly erosions between the toes
C. Follicular plugging (Tobacco smoking can lead to vertical wrinkles (rhytides)
on the upper lip, or "smoker's lines". Other cutaneous manifestations include
hair follicle blockage and resultant abscess formation, causing hidradenitis
suppurativa.)
An 84-year-old man comes to the office for examination of his skin to
detect pre-malignant or malignant lesions. Past medical history is
noncontributory. He reports smoking about a half-pack of cigarrettes for
the past 60 years. Physical examination shows furrowed, yellowed skin
around his eyes and on his forehead. A punch biopsy is performed. Which
of the following features would most likely be found on histologic
examination?
A. Dermal deposits highlighted by Congo red staining
B. Increased collagen deposition in the upper dermis
C. Melanocytic perforation
D. Nodular lesions growing downward into the dermis
E. Thickened elastic fiber fragments in the upper dermis
E. Thickened elastic fiber fragments in the upper dermis (Solar elastosis is
characterized by yellow, furrowed skin. It is associated with advanced age,
,sun damage, and/or smoking. Histologic features include thickened elastic
fiber fragments in the upper dermis.)
A 56-year-old man comes to the clinic for a routine check-up. Patient
smokes 7 cigarettes a day and drinks 3 beers once a week. Medical history
is contributory for DM type II, hypercholesterolemia, and hypertension.
Which of the following characteristics is most likely associated with an
increased risk of this patient's physical findings of "blackness and hairs
all over my tongue"?
A. Diabetes mellitus type 2
B. Epstein-Barr virus
C. Melanoma
D. Sialorrhea
E. Smoking
E. Smoking (associated with generation of black hairy tongue.)
A 56-year old man with a clean bill of health and a 80-pack-year history
has decided that he wants to quit smoking and approaches his doctor for
advice. After discussing the options, the patient declines a
recommendation of varenicline because of a friend that took it and gained
weight. You explain that weight gain is a possible side effect of quitting
smoking given smoking's anorectic qualities in some smokers. Which of
the following pharmacological options would be best for this patient?
A. Bupropion
B. Bupropion + Varenicline
C. Bupropion + Nicotine patches
D. Topiramate
E. Varenicline
F. Nicotine patches + Topiramate
H. Nicotine patches
, I. Clonidine
J. Topiramate + Varenicline
C. Bupropion + Nicotine patches (combo is more effective than either alone)
A 58-year-old man comes to the office for examination of his skin to
detect pre-malignant or malignant lesions. He has no complaints or
concerns. Physical examination shows indurated, yellowed skin around
his eyes and on his forehead. Which of the following is the most
significant risk factor for this skin finding?
A. Overconsumption of carrots
B. Drinking alcohol
C. Smoking
D. Cocaine addiction
E. Diabetes
C. Smoking
A 38-year old woman comes to the clinic for an annual check-up. She has
no general complaints and says that she feels healthy. Her medical
history is noncontributory. She works from home and lives with her two
children, aged 2 and 4 years. When asked if she smokes, she responds
"yes." Which of the following is the best provider response?
A. What is your understanding of the risks of smoking?
B. Are you aware of the risks of smoking?
C. I recommend that you quit smoking.
D. Do you want to quit smoking?
E. I can help you quit smoking.
F. Smoking is bad for your health and the health of your family.
D. Do you want to quit smoking? (Before engaging in a conversation on
smoking, the US Preventative Health Services recommends providers ask
patients at every visit: 1) Do you smoke? 2) Do you want to quit?)
QUESTIONBANK COMPLETE AND
ACCURATE SOLUTIONS RATED A.
A 25-year-old woman comes to the emergency department because of
intense abdominal pain. She describes it as a sharp pain and rates it as a
10 on a 10-point scale. She says it started last night and cannot identify
any triggers. She denies nausea, vomiting, diarrhea, or menstrual
abnormalities. She reports having had previous episodes that have been
relieved with oxycodone and requests this for the pain.
Vital signs show she is afebrile, her pulse is 72/min, respirations are
16/min, and blood pressure is 120/80 mm Hg.Physical examination
shows bowel sounds are present, and there is diffuse tenderness to
palpation in all four quadrants of the abdomen, without rebound
tenderness or guarding. There is no organomegaly or masses noted. She
declines a pelvic exam. Blood tests show CBC, UEC, TFT, LFTs, amylase,
and lipase are all normal. Urine beta-HCG is negative.
Which of the following is the most likely diagnosis?
A. A
E. Substance abuse (Patients exhibiting drug-seeking behavior will report pain
out of proportion to symptoms. They will demand one pain drug, will not take
any other, and refuse any other forms of treatment.)
A 45-year-old woman comes to the office because of the presence of
vertical wrinkles on her upper lip. She complains that none of her friends
of the same age have these fine lines or wrinkles and does not know why
,she has them. Past medical history is noncontributory. She reports using a
moisturizing lotion with sun protection factor (SPF) of 15 daily. She has a
20 pack-year history of smoking. She reports having two glasses of wine
socially about once a week. Which of the following cutaneous features is
the patient most likely to also develop?
A. Palpable purpura
B. Flushing and pruritus
C. Follicular plugging
D. Yellow-tinged skin on the palms and soles
E. Erythematous, scaly erosions between the toes
C. Follicular plugging (Tobacco smoking can lead to vertical wrinkles (rhytides)
on the upper lip, or "smoker's lines". Other cutaneous manifestations include
hair follicle blockage and resultant abscess formation, causing hidradenitis
suppurativa.)
An 84-year-old man comes to the office for examination of his skin to
detect pre-malignant or malignant lesions. Past medical history is
noncontributory. He reports smoking about a half-pack of cigarrettes for
the past 60 years. Physical examination shows furrowed, yellowed skin
around his eyes and on his forehead. A punch biopsy is performed. Which
of the following features would most likely be found on histologic
examination?
A. Dermal deposits highlighted by Congo red staining
B. Increased collagen deposition in the upper dermis
C. Melanocytic perforation
D. Nodular lesions growing downward into the dermis
E. Thickened elastic fiber fragments in the upper dermis
E. Thickened elastic fiber fragments in the upper dermis (Solar elastosis is
characterized by yellow, furrowed skin. It is associated with advanced age,
,sun damage, and/or smoking. Histologic features include thickened elastic
fiber fragments in the upper dermis.)
A 56-year-old man comes to the clinic for a routine check-up. Patient
smokes 7 cigarettes a day and drinks 3 beers once a week. Medical history
is contributory for DM type II, hypercholesterolemia, and hypertension.
Which of the following characteristics is most likely associated with an
increased risk of this patient's physical findings of "blackness and hairs
all over my tongue"?
A. Diabetes mellitus type 2
B. Epstein-Barr virus
C. Melanoma
D. Sialorrhea
E. Smoking
E. Smoking (associated with generation of black hairy tongue.)
A 56-year old man with a clean bill of health and a 80-pack-year history
has decided that he wants to quit smoking and approaches his doctor for
advice. After discussing the options, the patient declines a
recommendation of varenicline because of a friend that took it and gained
weight. You explain that weight gain is a possible side effect of quitting
smoking given smoking's anorectic qualities in some smokers. Which of
the following pharmacological options would be best for this patient?
A. Bupropion
B. Bupropion + Varenicline
C. Bupropion + Nicotine patches
D. Topiramate
E. Varenicline
F. Nicotine patches + Topiramate
H. Nicotine patches
, I. Clonidine
J. Topiramate + Varenicline
C. Bupropion + Nicotine patches (combo is more effective than either alone)
A 58-year-old man comes to the office for examination of his skin to
detect pre-malignant or malignant lesions. He has no complaints or
concerns. Physical examination shows indurated, yellowed skin around
his eyes and on his forehead. Which of the following is the most
significant risk factor for this skin finding?
A. Overconsumption of carrots
B. Drinking alcohol
C. Smoking
D. Cocaine addiction
E. Diabetes
C. Smoking
A 38-year old woman comes to the clinic for an annual check-up. She has
no general complaints and says that she feels healthy. Her medical
history is noncontributory. She works from home and lives with her two
children, aged 2 and 4 years. When asked if she smokes, she responds
"yes." Which of the following is the best provider response?
A. What is your understanding of the risks of smoking?
B. Are you aware of the risks of smoking?
C. I recommend that you quit smoking.
D. Do you want to quit smoking?
E. I can help you quit smoking.
F. Smoking is bad for your health and the health of your family.
D. Do you want to quit smoking? (Before engaging in a conversation on
smoking, the US Preventative Health Services recommends providers ask
patients at every visit: 1) Do you smoke? 2) Do you want to quit?)
